Provider Demographics
NPI:1083712459
Name:SEMEGA-JANNEH, MARIAMA (MD)
Entity Type:Individual
Prefix:
First Name:MARIAMA
Middle Name:
Last Name:SEMEGA-JANNEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6856 EASTERN AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2165
Mailing Address - Country:US
Mailing Address - Phone:800-881-4428
Mailing Address - Fax:888-881-3412
Practice Address - Street 1:6856 EASTERN AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2165
Practice Address - Country:US
Practice Address - Phone:800-881-4428
Practice Address - Fax:888-881-3412
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD034302207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010170541Medicaid
DC036785700Medicaid
MD407823300Medicaid
DC036785700Medicaid
MD407823300Medicaid